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ANDREW STEPHEN WILSON DO
NPI 1194229336
Internal Medicine - Interventional Cardiology in Joint Base Lewis Mcchord, WA

Active since March 22, 2018PECOS Enrolled
9040 JACKSON AVENUE, JOINT BASE LEWIS MCCHORD, WA 98431(253) 968-1100(253) 968-0100 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 28, 2026, Jul 3, 2025, Aug 21, 2023 and 3 more (6 updates tracked since 2018).

About Andrew Stephen Wilson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW STEPHEN WILSON DO (NPI 1194229336) is an individual interventional cardiology provider in Joint Base Lewis Mcchord, Washington, licensed in Texas (U9389) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194229336
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameANDREW STEPHEN WILSONCredential: DO
Location Address9040 JACKSON AVENUEJoint Base Lewis Mcchord, WA 98431-4504
Mailing Address9040 Jackson AvenueJoint Base Lewis Mcchord, WA 98431-0001 · (253) 968-1100 · Fax (253) 968-0100
Phone(253) 968-1100
Fax(253) 968-0100
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 22, 2018
Last NPPES UpdateJanuary 28, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1194229336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in TX · U9389
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0102205803 (VA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License DO228356 (OR), OP70055223 (WA)
9040 JACKSON AVENUE, Joint Base Lewis Mcchord, WA 98431
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1501 N Graham St Ste 200Portland, OR 97227-2000 · Phone (503) 413-4710
Location 22101 NE 139th St Ste 360Vancouver, WA 98686-2313 · Phone (360) 487-1965

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Stephen Wilson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860825890
PECOS Enrollment IDI20260212003174, I20260213000002
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Andrew Wilson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multicare Health System
11 mi
Pediatrics
1706 S MERIDIAN STE 120
Puyallup, WA 98371
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1700396652 (253) 848-8797
Swedish Health Services
38 mi
Cardiovascular Disease
550 17TH AVE FL 6
Seattle, WA 98122
  • Reassigned Medicare billing, Washington enrollment
  • 76 clinicians in this Medicare group
NPI 1720029028 (206) 215-4545
Legacy Salmon Creek Hospital
96 mi
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
NPI 1356357784 (360) 487-2878
Legacy Good Samaritan Hospital And Medical Center
110 mi
Clinic/Center
1200 NW 23RD AVE
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 387 clinicians in this Medicare group
NPI 1679597108 (503) 413-7074
Legacy Clinics LLC
110 mi
Clinic/Center
1130 NW 22ND AVE STE 220
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1902827272 (503) 413-2901

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TIMOTHY MICHAEL BARRY RN
Registered Nurse
9040 JACKSON AVENUE, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-2235
DANIEL G NG PHARMD
Pharmacist
9040 JACKSON AVENUE
TACOMA, WA 98431
Pierce County (253) 968-1110
MS. SUSAN EACCARINO LCSW
Social Worker (Clinical)
9040 JACKSON AVENUE
TACOMA, WA 98431
Pierce County (253) 968-2252
DR. TAHERA ARSHAD
Internal Medicine
9040 JACKSON AVENUE
TACOMA, WA 98431
Pierce County (253) 968-2462
PAMELA FINDER PSY.D.
Psychologist (Clinical)
9040 JACKSON AVENUE
TACOMA, WA 98431
Pierce County (253) 968-1110
CAITLIN BETTGER MD
Internal Medicine (Infectious Disease)
9040 JACKSON AVENUE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (210) 916-5910
LUKE BOUCHER MD
Internal Medicine (Pulmonary Disease)
9040 JACKSON AVENUE
TACOMA, WA 98431
Pierce County (253) 968-1110
DR. WILLIAM ALEXANDER KETCHUM MD
Surgery
9040 JACKSON AVENUE
TACOMA, WA 98431
Pierce County (253) 968-2252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Wilson's NPI number?

The NPI number for Andrew Wilson is 1194229336. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Andrew Wilson located?

Andrew Wilson practices at 9040 Jackson Avenue, Joint Base Lewis Mcchord, WA 98431. The listed phone number is (253) 968-1100.

What is Andrew Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Andrew Wilson enrolled in Medicare?

Yes. Andrew Wilson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Wilson reassigns Medicare benefits to 5 organizations: Multicare Health System (Puyallup, WA), Swedish Health Services (Seattle, WA), Legacy Salmon Creek Hospital (Vancouver, WA), Legacy Good Samaritan Hospital And Medical Center (Portland, OR) and Legacy Clinics LLC (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Wilson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Andrew Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Wilson affiliated with any hospitals?

According to CMS data, Andrew Wilson is affiliated with Yakima Valley Memorial and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Andrew Wilson was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.